Organization Active NPI

Carolina Vascular Care PLLC

  • Nephrology Physician
  • Rocky Mount, NC
National Provider Identifier
1073250445
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CAROLINA VASCULAR CARE PLLC
Practice address
30 Azimuth CT
Rocky Mount, NC 27804-3102
Phone
(252) 220-5470
Fax
(252) 627-9091
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Karn Gupta, MDNPI 1104841436
Title
Physician Owner
Phone
(252) 220-5470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

30 Azimuth CT
Rocky Mount, NC 27804-3102

Mailing address

30 Azimuth CT
Rocky Mount, NC 27804-3102
Phone (252) 220-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220708001138 NC Part B Supplier - Clinic/Group Practice 3072993088 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory

Locations

45 Guardian Ct
#100
Rocky Mount, NC 27804
Phone (252) 220-5470

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1073250445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AZIMUTH CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043102",
            "telephone_number": "252-220-5470",
            "fax_number": "252-627-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AZIMUTH CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043102",
            "telephone_number": "252-220-5470",
            "fax_number": "252-627-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VASCULAR CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "KARN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "252-220-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.